Clearwhite Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN15034 Issued in FL

Legal business name

CLEARWHITE DENTAL PLLC

Practice address

1831 N Belcher Rd
Suite F-3
Clearwater, FL 33765-1449

Phone

(727) 791-8823

Fax

(727) 725-4534

NPI assigned

Apr 23, 2014

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael Bradley Jergins, DMDNPI 1578567301

Title

Owner/Operator

Phone

(727) 791-8823

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Bradley Jergins, D.M.D.

  • General Practice Dentistry
  • Lithia, FL
  • NPI 1578567301
  NPD (past) Authorized official
• Terrissa Brooke Crowl, DDS

  • Dentist
  • Clearwater, FL
  • NPI 1477364149
  NPD (past)
• Blake Edward Moores, D.D.S.

  • General Practice Dentistry
  • Clearwater, FL
  • NPI 1225171846
  NPD (past)
• Nhi Pham, DMD

  • Dentist
  • Englewood, FL
  • NPI 1265287452
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1225458763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 NORTH BELCHER ROAD",
            "address_2": "SUITE F-3",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651453",
            "telephone_number": "727-791-8823",
            "fax_number": "727-725-4534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 N BELCHER RD",
            "address_2": "SUITE F-3",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651449",
            "telephone_number": "727-791-8823",
            "fax_number": "727-725-4534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARWHITE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-23",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "JERGINS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "727-791-8823",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN15034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DENTAL LICENSE",
            "identifier": "DN15034",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clearwater Sports Massage LLC
• Clearwater Surgical Associates, PLLC
• Clearwater Transportation Group (Clearwater Yellow Cab)
• Clearwater Vision
• Clearwater Weightloss, LLC (Medi Weightloss)
• Michael G. Clemens, M.D.
• Shirley Clersaint, APRN
• Samuel M Cleveland, D.O.
• Stephany L Climes
• Anastasia M Cline, B.A.

• Dental Clinic/Center in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.